Psychiatric aspects of lung transplant. The Toronto Lung Transplant Group.
Psychiatric problems in a consecutive series of lung transplant applicants (n = 116), candidates (n = 57) and recipients (n = 42) are reported. Fifty percent of all the applicants for lung transplantation reported a history of psychiatric disorder including organic brain syndrome (19%), major depressive episode (16%), panic or anxiety disorder not otherwise specified (11%) and alcohol or substance abuse (11%). In most cases, psychiatric problems had occurred in these patients as a complication of endstage lung disease. The most common new diagnoses in candidates awaiting surgery were adjustment disorder with anxious mood and anxiety disorders. Organic brain syndromes developed in over 50% of the recipients during the first two post-operative weeks. The type and prevalence of these disorders have implications for the management of lung transplant patients and those with chronic pulmonary disease.
Craven
J
J
Toronto Hospital Psychosomatic Medicine Program, Ontario.
D000223:Adaptation, Psychological; D000275:Adjustment Disorders / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D001008:Anxiety Disorders / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D003866:Depressive Disorder / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D008171:Lung Diseases / Q000523:psychology / Q000601:surgery*; D016040:Lung Transplantation / Q000523:psychology*; D019965:Neurocognitive Disorders / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D010200:Panic; D011613:Psychotherapy